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22670 Haggerty Road, Suite 100, Farmington Hills, Michigan 48335

Phone: 248-465-7300  |  Fax: 248-465-7428 

At MPRO, we are committed to maintaining an environment of equal opportunity and affirmative action. If you need a reasonable accommodation to access the information provided on this website, please contact us at 248-465-7300 for further assistance.

Independent Medical Review

MPRO provides high quality, comprehensive and objective utilization management, and independent review services to hospitals and health plans nationwide. MPRO is URAC accredited in Independent Review.


Quality and Utilization Management

MPRO’s utilization management program performs traditional Quality and Utilization Management (UM) as well as customized focused reviews on client specified cases. Our highly qualified and experienced staff can customize our UM services to meet your needs:

  • Pre-certification, concurrent review and retrospective review

  • Medical necessity of care settings, procedures, services and pharmaceuticals

  • Experimental reviews

  • DRG validation/billing

  • Appeals

  • Length of stay

  • Inter-rater reliability

  • Inpatient/outpatient audits

  • Review of day and cost-outliers

  • Review of short-stay admissions

  • CPT validation/outpatient coding

 

External Review

MPRO specializes in appropriate utilization of health services and review of quality of care that meets practice guidelines. Our reviews offer the depth of expertise and experience to ensure that our clients receive timely, high-quality, objective reviews:

  • Focused quality review, quality of care review

  • External appeals

  • Medical necessity, case consultation